• Sheetal B Jamakhandi Dhiraj General Hospital, SBKSMI & RC, Sumandeep Vidyapeeth, Vadodara, Gujarat, India
  • Kavita Chandnani Dhiraj General Hospital, SBKSMI & RC, Sumandeep Vidyapeeth, Vadodara, Gujarat, India



Spontaneous labour, Induced labour, Nulliparous, Maternal outcome, Prostaglandin


Introduction: The goal of modern obstetrics is to enhance feto-maternal health. In certain cases, interventions are required to safe-guard it. The most frequent interventional procedure is currently in-duction of labour. This study was conducted to assess feto-maternal outcome in induced women in comparison to spontaneous labour in nullipara.

Methodology: This was a prospective study conducted among 55 nulliparous pregnant women at or beyond 37 weeks of gestation who were in need of induction. Progress of labour was monitored with modified WHO partograph. All consecutive patients who entered into spontaneous labour (n=55) were also included.

Results: Mean cervical dilatation in ‘spontaneous labour’ group was 4.48 (± 0.65) cm and in ‘induction labour’ group was 4.4 (± 0.62) cm. In ‘spontaneous labour’ group, 36.4% required augmentation whereas in ‘induction labour’ group 67.3% required. In former, 81.8% had normal vaginal deliveries, whereas 63.6% in the later group. Mean du-ration of first stage of labour in ‘spontaneous labour’ group was 11.42 (± 2.32) hours and in ‘induction labour’ group was 10.36 (± 2.78) hrs. The rate of maternal complication was significantly more in ‘in-duction labour’ group compared to ‘spontaneous labour’ group. There was no significant difference in neonatal outcome in new-born in both the study groups.

Conclusion: Induction of labour is associated with higher rate of LSCS. Duration of first stage of labour is significantly shorter in in-duced women, however duration of second and third stage of labour was almost similar to spontaneous labour. Induction of labour is a safe procedure.


Cunningham FG, Leveno KJ, Bloom SL, Hauth JC, Rouse DJ, Spong YC. Normal Labor and Delivery; Willim Obstetrics. 23rd Edition. USA. McGraw-Hill. 2010;17:373-87.

Donald I. Management of labour, In: Mishra R. Practical obstetric problems, 7th edition, New Delhi. BI publication Pvt Ltd. 2014;24:466-80.

Mathai M. The Partograph for the prevention of Obstructed Labour. Clin Obstet Gynecol. 2009;52(2):256-69. Doi: PMid:19407533

Mathews JE, Rajaratnam A, George A, Mathai M. Comparison of two World Health Organization (WHO) partographs. Int J Gynecol. 2007;96(2):147- 15010. Doi: PMid:17254584

WHO, UNICEF, UNFPA & World Bank. Pregnancy, childbirth, Postpartum and Newborn Care; A Guide for Essential Practice. Geneva; WHO; 2006.

Babu S, Manjeera ML. Elective induction versus spontaneous labor at term: prospective study of outcome and complications. Int J Reprod Contracept Obstet Gynecol 2017; 6(11): 4899-907. Doi:

Chawla S, Singh SK, Saraswat M, Vardhan S. Induction of labor: Our experience. J Mar Med Soc 2017; 19(2): 96. Doi:

Megan L, Stephenson, Deborah A. Wing. Induction of labor. In: John Studd, Seang Lin Tan, Frank A. Chervenak (eds.) Current Progress in Obstetrics and Gynecology. 3rd ed. Ma-harashtra, India: kothri medical; 2015. p 321335.

Yadav P, Verma M, Harne S, Sharma M. Comparison of spontaneous labour with induced labour in nulliparous women using modified WHO partograph. Int J Reprod Contracept Obstet Gynecol 2016;5:4005-8. Doi:

Orji EO, Olabode TO. Comparative study of labour progress and delivery outcome among induced versus spontaneous labour in nulliparous women using modified WHO partograph. Nepal J Obstet Gynecol 2008; 3:24-8. Doi:

Alyasin ZT, Al-Salami KS, Abd al abbas H. Comparison be-tween elective labour induction and spontaneous onset of labour in prolonged pregnancy. Bas J Surg. March 16, 2010. Doi:

Jankiraman V, Ecker J, Kaimal AJ. Comparing the second stage in induced and spontaneous labour. Obstet Gynecol. 2010;116(3):606-11. Doi: PMid:20733442

Gunakala K, Rao PMR, Vennela M, Haneesha MS. Com-parision of Progression of Labour and Fetomaternal Out-come Between Spontaneous and Induced Labour. European Journal of Molecular & Clinical Medicine, 2022; 9(3): 6045-6051.

Abisowo OY, Oyinyechi AJ, Olusegun FA, Oyedokun OY, Motunrayo AF, Abimbola OT. Feto-maternal outcome of induced versus spontaneous labour in a Nigerian Tertiary Maternity Unit. Trop J Obstet Gynaecol 2017;34:21-7. Doi:

Selo-Ojeme D, Cathy R, Mohanty A, Zaidi N, Villar R, Shan-garis P. Is induced labour in the nullipara associated with more maternal and perinatal morbidity? Arch Gynecol Ob-stet 2010;10:1671-2.




How to Cite

Jamakhandi, S. B., & Chandnani, K. (2023). NULLIPAROUS WOMEN: EXAMINING FETAL AND MATERNAL OUTCOMES IN INDUCED VERSUS SPONTANEOUS LABOR. National Journal of Medical Research, 13(03), 68–73.



Original Research Articles